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afya Enuresis

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Drop binaries into your tank here.

20160425222438 Ben  
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<<tiddler AutoRefresh with: force>>

usually dry by 3-4yrs
enuretic if still wet 5yr without pathology
primary or secondary (>6/12 dry previous)
offer last drink 1hr pre bedtime (otherwise don't restrict fluids)

Mx - NICE 2010
Look for cause - constipation, UTI, diabetes
advise - fluids, toileting, diet
star charts - for positive behaviour (used toilet pre bed) not for dry bed
consider needs of family and pt
 <7yr - enuretic alarm
>7yr - desmopressin or if alarm not worked or family dislike